Leibovitz, Joshua R

Leibovitz, Joshua R is an individual health care provider with primary practice located at 2600 Se Belmont St , Portland OR 97214-2916. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Leibovitz, Joshua R can be contacted via phone (503) 475-2844.

Contact Information

Primary practice address
2600 Se Belmont St Portland OR 97214-2916
Phone: (503) 475-2844
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X MD21268 Oregon
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD21268 Oregon

Profile Details

NPI number 1912929910
LBN Legal business name Leibovitz, Joshua R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jan 16th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912929910 NPPES
Oregon MEDICAID 132088
Oregon Other P01328167

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